Sung Sup Kim M.D. P.C. in Chicago - Cardiovascular Disease

Sung Sup Kim M.D. P.C. - NPI 1205933355

Sung Sup Kim M.D. P.C. is a Cardiovascular Disease in Chicago, Illinois. Sung Sup Kim M.D. P.C. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Sung Sup Kim M.D. P.C. is 1205933355. The last update date is 2008-01-02.

Sung Sup Kim M.D. P.C.'s current location address is 5140 N California Ave, Chicago, Illinois. You can contact this provider via phone number 7732718700 and fax number 7732715912. The mailing address for Sung Sup Kim M.D. P.C. is 5140 N California Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sung Sup Kim M.D. P.C.
Address 5140 N California Ave, Chicago, Illinois
Phone Number 7732718700
Fax Number 7732715912
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kim Sup Sung
Credentials M.D.
Telephone Number 7732718700

NPI Number Detail

NPI Number 1205933355
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-01-02

Provider Mailing Address Detail

Address 5140 N California Ave
City Chicago
State Illinois (IL)
Post Code 606253645
Phone Number 7732718700
Fax Number 7732715912

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DF8696 RAILROAD MEDICARE PTAN#
31604584 IL BCBS

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FAQs about Sung Sup Kim M.D. P.C.

What is the unique 10-digit identification code issued to Sung Sup Kim M.D. P.C. by the Centers for Medicare & Medicaid Services?

The Sung Sup Kim M.D. P.C. has been assigned the NPI (National Provider Identifier) 1205933355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Sung Sup Kim M.D. P.C.?

The Sung Sup Kim M.D. P.C. is physically situated at 5140 N California Ave, in the city of Chicago, state of IL, with the postal code 606253645.

What is Sung Sup Kim M.D. P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Sung Sup Kim M.D. P.C.'s area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.

On what date did the Sung Sup Kim M.D. P.C. receive the assignment of its 1205933355 from the Centers for Medicare & Medicaid Services?

The Sung Sup Kim M.D. P.C. was issued its 1205933355 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information regarding Sung Sup Kim M.D. P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sung Sup Kim M.D. P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-02.

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